NIKI MOSCANDREW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050607

License Status

NOT RENEWED

Business

First Name

NIKI

Last Name

MOSCANDREW

Suffix

Business Name

NIKI MOSCANDREW MD

Original Issue Date

02/25/1975

Effective Date

07/26/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014